Serves patients and staff by providing timely assistance and information regarding accounts and claims.
Job Duties:
-
Responsible for daily reviewing and working claims edits and reports
-
Review claims for accuracy and readiness for submission
-
Submitting insurance claims to various payers electronically and/or paper
-
Working on claims submission system to release clean claims to payers
-
Review and work denial management system to resolve payment issues
-
Follow-up on delayed claim payments by calling insurance companies
-
Working credit balance report to resolve overpayments
-
Dealing with patients and family members accounts and making payment arrangements
Education:
High school diploma or GED required. Associates degree preferred.
Training/Experience:
Previous Experience is Highly Desired.
Skills/Qualifications:
-
Telephone etiquette
-
EMR/EHR Experience
-
Customer Service
-
Insurance payer requirements
-
HIPPA compliance
-
Attention to Detail
-
Knowledge of Claim Submission Process
-
Quality Focus
